Frühmorgen P, Bodem F, Reidenbach H D, Kaduk B, Demling L
Dtsch Med Wochenschr. 1976 Sep 3;101(36):1305-7. doi: 10.1055/s-0028-1104261.
Endoscopic laser-coagulation was used 94 times in 14 patients to stop gastro-intestinal bleeding or coagulate potential bleeding sources during non-bleeding intervals. Lasting haemostasis was achieved in three cases of incomplete gastric erosion, one of gastric ulcer, one of duodenal ulcer and one of bleeding after antral rugectomy. It failed to stop severe arterial bleeding in a case of gastric carcinoma. Lasting haemostasis was achieved in six haemangiomas of the colon, one case of angiomatosis of the antrum with 62 individual sites, two of angiodysplasia of the colon, 17 lesions in Osler's disease of the oesophagus (2 cases), stomach (10) and duodenum (5). The procedure was performed in the course of diagnostic endoscopy with an argonion laser developed by the authors, which has a density of 0.7-1.3 W/mm2. No complications have been observed so far.
对14例患者进行了94次内镜激光凝固术,以在非出血期止血或凝固潜在的出血源。在3例不完全性胃糜烂、1例胃溃疡、1例十二指肠溃疡和1例胃窦部切除术后出血的病例中实现了持久止血。在1例胃癌患者中,该方法未能止住严重的动脉出血。在6例结肠血管瘤、1例胃窦血管瘤病(共62个部位)、2例结肠血管发育异常、2例奥斯勒病(食管17处病变、胃10处、十二指肠5处)中实现了持久止血。该操作是在诊断性内镜检查过程中使用作者研制的氩离子激光进行的,其密度为0.7-1.3W/mm2。迄今为止未观察到并发症。